NPIMap

Organization Active NPI

CCRC Opco - Galleria Woods, LLC

Doing business as Galleria Woods Skilled Nursing Facility

  • Skilled Nursing Facility
  • Birmingham, AL
National Provider Identifier
1982633632
Registry record updated Oct 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CCRC OPCO - GALLERIA WOODS, LLC
Doing business as
Galleria Woods Skilled Nursing Facility
Practice address
3850 Galleria Woods Dr
Birmingham, AL 35244-1098
Phone
(205) 985-7537
NPI assigned
Jul 2, 2006
Last updated
Oct 3, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
BROOKDALE SENIOR LIVING INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 3, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Mark W Ohlendorf
Title
President
Phone
(414) 918-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3850 Galleria Woods Dr
Birmingham, AL 35244-1098

Mailing address

3850 Galleria Woods Dr
Birmingham, AL 35244-1098
Phone (205) 985-7537

Other names 1

  • Galleria Woods Skilled Nursing Facility Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Arc Galleria Woods Inc2 organizations share this tax ID, including this one
Part of
Brookdale Senior Living Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1982633632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 GALLERIA WOODS DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352441098",
            "telephone_number": "205-985-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 GALLERIA WOODS DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352441098",
            "telephone_number": "205-985-7537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCRC OPCO - GALLERIA WOODS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKDALE SENIOR LIVING INC",
        "enumeration_date": "2006-07-02",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "OHLENDORF",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-918-5000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Galleria Woods Skilled Nursing Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.